
<form id='form_step1' method='post'
	action='<?php echo site_url("create_account/save/1")?> '
	onsubmit="return Send('#form_step1');">
	<!-- -->
	<table cellspacing='0' cellpadding='0'>
		<tr>
			<td colspan='4'>
				<div>Provide Personal Information for Primary Account Holder:</div>
			</td>
		</tr>
		<tr id='personal_name'>
			<td><label id='titleLbl' for='title'>Title:*</label> <select
				id='title'>
					<option value='Mr.'>Mr.</option>
					<option value='Mrs.'>Mrs.</option>
					<option value='Ms.'>Ms.</option>
			</select>
			</td>
			<td><label for='firstName' id='firstNameLbl'>First:*</label>
			</td>
			<td><input name='firstName' type='text' size='15'></input>
			</td>
			<td><label for='middleName' id='middleNameLbl'>Middle:</label>
			</td>
			<td><input name='middleName' type='text' size='2'></input>
			</td>
			<td><label for='lastName' id='lastNameLbl'>Last:*</label>
			</td>
			<td><input name='lastName' type='text' size='15'></input>
			</td>
		</tr>

		<tr id='email'>
			<td colspan='2'><label for='email' id='emailLbl'>E-mail:*</label> <br />
				<label id='verififyEmailLbl' for='verififyEmail'>Verify e-mail
					address:*</label>
			</td>
			<td colspan='2'><input name='email' type='text'></input> <br /> <input
				name='verifyEmail' type='text'></input>
			</td>
		</tr>

		<tr class='msg'>
			<td colspan='8'>Important: Email is our primary method of contacting
				you, both to complete the application process and for ongoing client
				communication.
				<div id='space'></div>
			</td>
		</tr>

		<tr>
			<td colspan='8'>
				<div>Set Account Credentials:</div>
			</td>
		</tr>

		<tr id='user_id'>
			<td colspan='2'><label id='userIDLbl' for='userID'>User ID:*</label>
			</td>
			<td colspan='2'><input name='userID' type='text'></input>
			</td>
		</tr>

		<tr id='user_passwd'>
			<td colspan='2'><label id='userPasswdLbl' for='userPasswd'>Enter
					password:*</label>
			</td>
			<td><input name='userPasswd' type='password'></input>
			</td>
			<td colspan='2'><label id='verifyPasswdLbl' for='verifyPasswd'>Verify
					password:*</label>
			</td>
			<td colspan='2'><input name='verifyPasswd' type='password'></input>
			</td>
		</tr>

		<tr>
			<td colspan='8'>
				<div class='msg'>8 character minimum (must contain letters and
					numbers).</div>
			</td>
		</tr>

		<tr>
			<td colspan='8'>
				<div class='msg_important'>Be sure to write down your password and
					put it in a secure place, you will need it to log into your
					account.</div>
			</td>
		</tr>

		<tr>
			<td colspan='2'><label for='securityQuestion'
				id='securityQuestionLbl'>Security question:*</label>
			</td>
			<td colspan='4'><select id='securityQuestion' name='securityQuestion'>
					<option value=''>Select one</option>
					<option value='In what city or town was your first job?'>In what
						city or town was your first job?</option>
					<option value="What is your father's middle name?">What is your
						father's middle name?</option>
					<option
						value="What was the name of your primary/elementary school?">What
						was the name of your primary/elementary school?</option>
					<option value="What is your maternal grandmother's maiden name?">What
						is your maternal grandmother's maiden name?</option>
			</select>
			</td>
		</tr>

		<tr>
			<td colspan='2'><label id='answerLbl' for='answer'>Answer:*</label>
			</td>
			<td colspan='1'><input name='answer' type='text'></input>
			
			<td colspan='2'><label id='answerVerififyLbl' for='answerVerify'>Verify
					Answer:*</label>
			</td>
			<td colspan='2'><input name='answerVerify' type='text'></input>
			</td>
		</tr>

		<tr>
			<td colspan='8'>
				<div>Choose Account Preferences:</div>
			</td>
		</tr>

		<tr>
			<td colspan='8'>
				<div class='msg'>Contract Size &amp; Leverage</div>
			</td>
		</tr>

		<tr>
			<td colspan='4'><input id='accountSizeMini' name='accountSize'
				value='mini' type='radio' checked="checked" /> <label
				id='accountSizeMiniLbl' for='accountSizeMini'>Mini (10K lots; 200:1
					leverage):</label> <br /> <input id='accountSizeStadard'
				name='accountSize' value='standard' type='radio'></input> <label
				id='accountSizeStadardLbl' for='accountSizeStadard'>Standard (100k
					lots; 100:1 leverage):</label>
			</td>
			<td colspan='3'><label id='accountSizeMiniLbl' for='baseCurrency'>Base
					Currency:</label> <select id='baseCurrency' name='baseCurrency'>
					<option value='GBP'>GBP</option>
					<option value='USD'>USD</option>
					<option value='EUR'>EUR</option>
					<option value='JPY'>JPY</option>
			</select>
			</td>
		</tr>

		<tr>
			<td colspan='8'>
				<div>Choose an Account Type:</div>
			</td>
		</tr>

		<tr>
			<td colspan='8'><input id='accountTypeIndividual' name='accountType'
				value='individual' type='radio' checked="checked" /> <label
				id='accountTypeIndividualLbl' for='accountTypeIndividual'><b>Individual</b>
					- I will be the sole owner of this account</label>
			</td>
		</tr>
		<tr>
			<td colspan='8'><input id='accountTypeJoint' name='accountType'
				value='joint' type='radio' /> <label id='accountTypeJointLbl'
				for='accountTypeJoint'><b>Joint</b> - I am opening this account with
					another person.
					<div class='msg'>(Please note that you will need to provide full
						personal, employment, financial and trading experience details for
						both applicants.)</div> </label>

				<div id='jointAccountToogle'>
					<div id='jointSelectorHeader'>Please select the type of Joint
						Account you wish to open:</div>
					<div id='jointSelectorContainer'>
						<input id='accountTypeJointSurvivorship' name='accountTypeJoints'
							value='joint_survivorship' type='radio' checked="checked" /> <label
							id='accountTypeJointSurvivorshipLbl'
							for='accountTypeJointSurvivorship'><b>Joint Tenants with Right of
								Survivorship</b>
							<div class='msg'>- If an account owner dies, interest passes to
								the surviving owner(s).</div> </label> <input
							id='accountTypeJointCommon' name='accountTypeJoints'
							value='joint_common' type='radio' /> <label
							id='accountTypeJointCommonLbl' for='accountTypeJointCommon'><b>Tenants
								in Common</b>
							<div class='msg'>- If an account owner dies, interest passes to
								his/her estate.</div> </label>
					</div>
				</div>
			</td>
		</tr>

		<tr>
			<td colspan='8'><input id='accountTypeCorporate' name='accountType'
				value='individual' type='radio' /> <label
				id='accountTypeCorporateLbl' for='accountTypeCorporate'><b>Corporate</b>
					- I am opening the account in the name of a company </label>
			</td>
		</tr>
	</table>

	<div id='aditional_info'>
		<div class='msg'>
			<b>Aditional information:</b>
		</div>
		<input id='thirdparty' name='thirdparty' type='checkbox' value='1' />
		<label id='thirdpartyLbl' name='thirdpartyLbl' for='thirdparty'>My
			account will be managed by a third party.</label>
	</div>
	<div id='authorized_trader'>
		<label id='authorized_trader_inputLbl' for='authorized_trader_input'>Please
			provide name of Authorized Trader:*</label><br /> <input
			id='authorized_trader_input' name='authorized_trader_input'
			type='text' size='45' />

	</div>

	<div id='submit_section' style='text-align: center;'>
		<input type='submit' value='submit'
			title='Save the form and continue to the next step' />
	</div>
</form>
